HomeMy WebLinkAbout0896 Decla~ation of Oomjcile and Citizenship
146~~ .
TO THE STATE AND COUNTY TAX•ASSESSOR,
Sl. LUCIE COUNTY, FIORIDA:
This is my declarotion of ~omicile and Citizenship in the State of Florida that 1 am fili~g this day in actordente and
in conformity with Chapter 222, Section 222.17, Ftorida Statutes. -
1 was formerly a legal res~dent of CuvahoRa Palls Ohio _
(Ciry) ~ (State)
and 1 resided at ~ 222 7 llt6 Street ~,,,,e„er 1 have changed my domic,ile
(Street and Number)
to and am and have been a bona fide resident of the State of Florida since ~_2,~Id_ day of
_ _June , 19 66 , a~d i reside ar 752 Oak Street Rv. Park
(Street and Number)
FORT PIEItCE, SAINT LUCIE COUNTY, RORIDA
and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida.
(Insert here any pe~tinent facts, such as sale of p~operty o~ business, or relinquishment of employment
at former domicile. removal of family to new domicile, purchase of home, etc.)
Bstabiishing residency _
FILEO AN~ REC~ROF1.~?•
ST. LUC~E ~~UNtY
RECORO VERIF~D
J~C~o~~'~.`'`~O ; ~ 4
1
'66 ~U~ 3~ ~
146~25
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1 RJRTHER CERTIFY that I will comply wi~h all other requi~ements of a legal resident of this State.
I FURTHER CERTIFY ihat I have no intention to return to my former domi4le, and I intend to remain in FORT
PIERCE, SAINT tUC1E COUNN, FLORIDA, permanently. -
i
(Name)
~ ~ ' R He r
:•:~1.~~.;;;~:r,~~`'~.= . n y Jones
.
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.•J~s, ~ G•. , ~
: .r~.~~s
: • ; , :
: ; • Q~ . (Address)
: e= Jean w Jones- wif e
_ : - . : =r ~
= .Iune 66
Swom te ar~ic~'wbscribed before me this 30tb day of ~q
. , . . ~ - , .
,~~~.1 v•..... ••~q~~~~, -
' ,,',,11er f ~ ~R~~~`POIT1tAS
CtRCU1T COURT ~ Notary Public
~Y Q~"~'~'G ~ D.C. My tommission expires
(To bt ~xecubd in duplicats and ori~inal filsd witl~ Cl~rlc Circuit Cour1, snd duplicat~ wifh Tax Ass~stor.)
dooK 149 295
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